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NPI Code Detail

MEDICARE: MAYELIN RODRIGUEZ

MEDICARE:   MAYELIN  RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1902376460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYELIN RODRIGUEZ
Provider Business Mailing Address
First Line : 831 MONTEGO DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-3843
Country : US
Telephone Number : 305-896-9057
Fax Number :
Provider Business Practice Location Address
First Line : 831 MONTEGO DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-3843
Country : US
Telephone Number : 305-896-9057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2018
Last Update Date : 05/07/2022

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Directions to “ MAYELIN RODRIGUEZ ” Practice Location

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